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NPI 1750702957 · Canovanas, PR · Ambulance
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Medina Medical Transport Ems Corp. is a ambulance provider located in Canovanas, Puerto Rico. This profile covers 3 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Medina Medical Transport Ems Corp. |
| Address | Pr-3 Km 19.8 |
| City | Canovanas |
| State | PR |
| ZIP | 00729 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 16, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.6M |
| Medicare | $158K |
MEDINA MEDICAL TRANSPORT EMS CORP. operates as an ambulance/EMS transport provider focused on emergency ground transfers, as evidenced by dominant code types A0429 (BLS emergency transport), A0427 (ALS 1 emergency transport) and A0425 (ground mileage). The code mix — two transport level codes plus mileage — indicates core operations are patient pickups and emergency response rather than ancillary non-transport services.
Revenue concentration is highly focused: the top three Medicare codes account for 100.0% of this provider's Medicare revenue and the top three Medicaid codes account for 100.0% of its Medicaid revenue. Within those top-three groupings, Medicare revenue is split as A0429 (42.7%), A0427 (42.6%), and A0425 (14.7%), while Medicaid revenue is split as A0429 (48.2%), A0427 (39.5%), and A0425 (12.3%).
This provider is effectively Medicaid-dominant in scale: total Medicaid revenue is $2.6M compared with total Medicare revenue of $158K. The much larger Medicaid footprint suggests operational emphasis on Medicaid-covered transports and a payer mix that is heavily weighted toward state programs.
Nationally for Medicare, MEDINA MEDICAL TRANSPORT appears as a modest participant on its top transport codes: A0429 ranks #2367 of 7808 providers (70th percentile; described as typical, unremarkable volume), A0427 ranks #3323 of 6841 (51th percentile; typical, unremarkable volume for this code), and A0425 ranks #4179 of 8934 (53th percentile; typical, unremarkable volume). These percentiles indicate the provider’s Medicare volumes are near the median/typical range rather than at national extremes.
Within Puerto Rico Medicaid, the provider is a major state-level operator on transport codes: A0429 ranks #4 of 186 providers (98th percentile; notably above typical state volume for this code) and A0425 ranks #7 of 226 providers (97th percentile; notably above typical state volume). A0427 is listed at rank #4 of 64 (95th percentile) but described as typical, unremarkable volume for this code; overall these ranks signal strong in-state scale, particularly for BLS emergency transports and mileage.
The provider’s tenure is established: its NPI was enumerated on 2013-12-16 (~13 years ago), indicating more than a decade of billing activity. Combined with concentrated Medicaid volumes and top-state rankings, this tenure supports a stable, long-running presence in the local EMS market.
Payment and utilization patterns differ by payer: average paid per claim for A0429 is $314 on Medicare versus $180 on Medicaid, and for A0427 is $376 on Medicare versus $251 on Medicaid, while A0425 mileage averages $7 on Medicare versus $28 on Medicaid. These per-claim differences suggest Medicare pays higher per-transport rates for BLS/ALS transports but Medicaid accounts for much higher aggregate claim volumes.
Claim counts reinforce a Medicaid-focused volume profile: Medicaid claims for top codes are large (A0429: 7.1K claims; A0427: 4.1K claims; A0425: 11.5K claims) versus Medicare counts (A0429: 216 claims; A0427: 180 claims; A0425: 3.3K claims). The disparity in absolute claim volumes aligns with the revenue mix and indicates operational emphasis on serving Medicaid beneficiaries at scale.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
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How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
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| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 60 | 250 | $200 | $232.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 190 | 300 | $150 | $137.9K |
| A0425 | Ground mileage, per statute mile | 7 | 230 | 480 | $30 | $52.1K |
Other providers in the same ZIP code as Medina Medical Transport Ems Corp., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Instituto Medico Familiar Inc | PR | Legal Medicine | $0 | $1.2M |
| Laboratorio Clinico Canovanas Inc | PR | Clinical Medical Laboratory | $0 | $991.3K |
| Laboratorio Clinico Loiza Valley Inc. | PR | Clinical Medical Laboratory | $6K | $967.7K |
| Canovanas Medical Center Csp | PR | Emergency Care Clinic/Center | $0 | $928.6K |
| Vanessa Alvarado Gonzalez | PR | General Practice Physician | $0 | $811.2K |
| Rs Therapy Group, Inc. | PR | Physical Therapy Clinic/Center | $0 | $769.5K |
| Laboratorio Clinico Chegar Inc | PR | Clinical Medical Laboratory | $2.3K | $765.3K |
| Cdt De Canovanas | PR | Emergency Care Clinic/Center | $0 | $725K |
| Loiza Valley Mr & Ct Center | PR | Diagnostic Radiology Physician | $0 | $650.3K |
| Fernando Lopez Rodriguez | PR | Neuroradiology Physician | $41.6K | $37.6K |
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